Rikicin ci gaba na al'aurar mata

Cigaban ci gaban sashin haihuwar mace matsaloli ne a cikin ɓangarorin haihuwar yarinya. Suna faruwa yayin da take girma a cikin mahaifar mahaifiyarta.

Gabobin haihuwa mata sun hada da farji, kwan mace, mahaifa, da kuma mahaifa.

Jariri yakan fara haɓaka gabobin haihuwa tsakanin makonni 4 zuwa 5 na ciki. Wannan yana ci gaba har zuwa mako na 20 na ciki.

Ci gaban abu ne mai rikitarwa. Abubuwa da yawa na iya shafar wannan tsari. Yaya tsananin matsalar yarinka ya dogara da lokacin da katsewar ta faru. Gabaɗaya, idan matsalolin sun faru da wuri a cikin mahaifar, sakamakon zai yadu sosai.Matsaloli a ci gaban gabobin haihuwa na yarinya na iya faruwa ta hanyar:

• Rushewa ko ɓacewar kwayoyin halitta (lahani na kwayar halitta)
• Amfani da wasu kwayoyi yayin daukar ciki

Wasu jariran na iya samun nakasu a kwayoyin halittar su wanda ke hana jikin su samar da enzyme da ake kira 21-hydroxylase. Adrenal gland yana buƙatar wannan enzyme don yin hormones irin su cortisol da aldosterone. Wannan yanayin ana kiransa congenital adrenal hyperplasia. Idan yarinya mai tasowa ba ta da wannan enzyme, za a haife ta da mahaifa, ovaries, da tublop fallopian. Koyaya, al'aurarta ta waje zata yi kama da ta samari.

Wasu magungunan da uwa zata sha zasu iya shiga cikin jinin jariri kuma ya tsoma baki tare da ci gaban sassan jiki. Medicineaya daga cikin magungunan da aka san yin wannan shine diethylstilbestrol (DES). Masu ba da kiwon lafiya sun taɓa ba da wannan maganin ga mata masu juna biyu don hana ɓarna da haihuwa da wuri. Koyaya, masana kimiyya sun koyi cewa girlsan mata bornan matan da suka sha wannan magani suna da mahaifa mai siffa mara kyau. Magungunan kuma ya haɓaka damar da daughtersa daughtersa mata ke da shi na ɓullo da nau'ikan cutar kansa ta farji.

A wasu lokuta, ana iya ganin rikicewar ci gaba da zarar an haifi jariri. Yana iya haifar da yanayin rai ga jariri. Wasu lokuta kuma, ba a gano yanayin har sai yarinyar ta girma.

Yanayin haihuwa yana bunkasa kusa da sashin fitsari da koda. Hakanan yana haɓaka lokaci guda kamar sauran gabobi da yawa. A sakamakon haka, matsalolin ci gaba a cikin hanyoyin haihuwar mace wani lokaci suna faruwa tare da matsaloli a wasu yankuna. Wadannan yankuna na iya hadawa da hanyoyin fitsari, kodan, hanji, da kuma kashin baya.

Rikicin rashin ci gaban sashin haihuwar mace ya haɗa da:

• Intersex
• Al'aura mara kyau

Sauran rikice-rikicen ci gaban sashin haihuwar mace sun haɗa da:

• Abubuwa marasa kyau na Cloacal: Cloaca tsari ne mai kama da bututu. A farkon matakan ci gaba, hanyoyin fitsari, dubura, da farji duk ba komai a cikin wannan bututun. Daga baya, yankuna 3 sun rabu kuma suna da nasu buɗewa. Idan cloaca ya ci gaba yayin da yarinya ta girma cikin mahaifarta, duk buɗewar ba ta zama ta rabu ba. Misali, ana iya haihuwar jariri buɗe ɗaya kawai a ƙasan jiki kusa da yankin dubura. Fitsari da najasa ba sa iya fita daga jiki. Wannan na iya haifar da kumburin ciki. Wasu matsalolin rashin lafiyar na iya haifar da yarinya kamar tana da azzakari. Wadannan lahani na haihuwa suna da yawa.
• Matsaloli tare da al'aura daga waje: Matsalolin ci gaba na iya haifar da kumbura kumbura ko laɓar fia. Usedunƙwarar labia wani yanayi ne inda mahaɗaɗɗen nama a kewayen buɗewar farjin suka haɗu wuri ɗaya. Yawancin sauran matsalolin al'aura na waje suna da alaƙa da maƙarƙashiya da al'aura mara kyau.
• Hymen mara kyau: Hymen ɗin wata sifa ce ta siradi wacce ta kan rufe buɗewar farji. Hymen da ba zai iya gogewa ba ya toshe buɗewar farji. Wannan yakan haifar da kumburi mai zafi na farji. Wasu lokuta, farar hutun budurwa tana da ƙaramar buɗe ko ƙarami kaɗan. Ba za a iya gano wannan matsalar ba sai lokacin balaga. Ana haihuwar wasu babyan mata withoutan mata ba tare da farin jini ba. Wannan ba a ɗauke shi mara kyau ba.
• Matsalolin Ovarian: Yarinya yarinya na iya samun ƙarin ƙwai, ƙarin nama haɗe da ƙwan, ko sifofin da ake kira ovotestes waɗanda ke da nama da na mace.
• Matsalolin mahaifa da na mahaifa: Za a iya haifar da yarinya da ƙarin ƙwayar mahaifa da mahaifa, mahaifa mai rabi-rabi, ko toshewar mahaifa. Galibi, 'yan matan da aka haifa da rabin mahaifa da rabin farji suna rasa koda a gefe ɗaya na jikin. Mafi yawan lokuta, mahaifar zata iya zama tare da "bango" na tsakiya ko kuma septum a cikin babin mahaifar. Bambancin wannan lahani yana faruwa ne lokacin da aka haifi mai haƙuri da ƙwayar mahaifa guda ɗaya amma uteri biyu. Man uteri wani lokacin baya sadarwa tare da wuyar mahaifa. Wannan yana haifar da kumburi da zafi. Duk abubuwan rashin lafiyar mahaifa na iya haɗuwa da al'amuran haihuwa.
• Matsalolin farji: Ana iya haihuwar 'yar yarinya ba tare da farji ba ko kuma buɗe kofar farjin ta hanyar toshewar ƙwayoyin ƙwayoyin da suke sama a cikin farjin fiye da inda mafakar ciki take. Rashin farji da aka rasa shine mafi yawancin lokuta saboda cutar Mayer-Rokitansky-Kuster-Hauser. A cikin wannan ciwo, jariri ya ɓace wani ɓangare ko duk gabobin haihuwa na ciki (mahaifa, mahaifa, da tubes na fallopian). Sauran abubuwan rashin lafiya sun hada da samun farji 2 ko farji da ke buɗewa a cikin hanyar fitsari. Wasu 'yan matan na iya samun mahaifa mai siffar zuciya ko mahaifa tare da bango a tsakiyar ramin.

Kwayar cutar ta bambanta bisa ga takamaiman matsala. Suna iya haɗawa da:

• Nono baya girma
• Ba za a iya zubar da mafitsara ba
• Umpulla a yankin ciki, yawanci saboda jini ko ƙushin da ba zai iya fita ba
• Zuwan jinin haila wanda ke faruwa duk da amfani da tabo (alamar farji na biyu)
• Cunkushewar wata ko zafi, ba tare da haila ba
• Babu haila (amenorrhea)
• Jin zafi tare da jima'i
• Maimaitawar ɓacewa ko haihuwar lokacin haihuwa (na iya zama saboda mahaifar mahaifa ne)

Mai ba da sabis na iya lura da alamun rikicewar ci gaba nan take. Irin waɗannan alamun na iya haɗawa da:

• Farji mara kyau
• Mahaifa mara kyau ko bata
• Fitsari a bayan jiki
• Al'aura wadanda suke da wuyar ganewa kamar yarinya ko saurayi
• Labia da suke makale wuri ɗaya ko kuma girman ban mamaki
• Babu buɗaɗɗu a cikin yankin al'aura ko buɗewar dubura ɗaya
• Ciwon mara

Yankin ciki na iya kumbura ko dunƙule a cikin mara ko ciki. Mai bayarwa na iya lura da mahaifa baya jin al'ada.

Gwaje-gwaje na iya haɗawa da:

• Endoscopy na ciki
• Karyotyping (gwajin kwayoyin)
• Hormone matakan, musamman testosterone da cortisol
• Duban dan tayi ko MRI na yankin pelvic
• Fitsari da kuma wutan lantarki

Likitoci galibi suna bayar da shawarar a yi wa 'yan mata tiyata tare da matsalolin ci gaba na gabobin haihuwa. Misali, farji da aka toshe zai iya zama mafi yawanci a gyara ta hanyar tiyata.

Idan yarinyar bata rasa farji ba, mai bayarwa zai iya rubuta mai ba da shawara idan yaron ya balaga. Dilator wata na’ura ce da ke taimakawa wajen shimfidawa ko fadada wurin da ya kamata farji ya kasance. Wannan aikin yana ɗaukar watanni 4 zuwa 6. Hakanan za'a iya yin aikin tiyata don ƙirƙirar sabon farji. Yakamata ayi tiyatar yayin da budurwar ta sami damar amfani da dilar domin bude sabuwar farjin.

An bayar da rahoton sakamako mai kyau tare da hanyoyin tiyata da marasa amfani.

Jiyya na cututtukan cututtukan ƙwayoyin cuta yawanci suna ƙunshe da tiyata masu rikitarwa masu yawa. Wadannan tiyatar suna gyara matsaloli ta dubura, farji, da kuma hanyoyin fitsari.

Idan nakasar haihuwa ta haifar da rikitarwa, ana yin tiyata na farko jim kaɗan bayan haihuwa. Hakanan za'a iya yin aikin tiyata don sauran rikicewar haihuwa yayin ci gaban jariri yayin da yake jariri. Wasu tiyata na iya jinkirta har sai yaron ya girma sosai.

Gano wuri da wuri yana da mahimmanci, musamman a cikin al'amuran da suka shafi mahaifa. Ya kamata mai ba da sabis ya bincika a hankali kafin yanke shawarar cewa yaron ɗa ne ko yarinya. Wannan ana kiranta sanya sanya jinsi. Jiyya ya kamata ya hada da nasiha ga iyaye. Yaron kuma zai buƙaci shawara yayin da suka girma.

Wadannan albarkatu na iya ba da ƙarin bayani game da rikice-rikicen ci gaba daban-daban:

• Gidauniyar CARES - www.caresfoundation.org
• DES Action USA - www.desaction.org
• Ersungiyar Intersex ta Arewacin Amurka - www.isna.org

Abubuwa masu rikitarwa na cloacal na iya haifar da rikitarwa na mutuwa a lokacin haihuwa.

Matsalolin da ke iya faruwa na iya faruwa idan ganewar asali ya makara ko kuskure. Yaran da ke da tabin hankali wanda aka sanya jinsi daya daga baya ana iya samunsu da gabobin ciki wadanda suka danganci jinsi sabanin yadda suka taso. Wannan na iya haifar da tsananin damuwa na hankali.

Matsalolin da ba a gano su ba a cikin hanyoyin haihuwar yarinya na iya haifar da rashin haihuwa da matsalolin jima'i.

Sauran matsalolin da ke faruwa daga baya a rayuwa sun haɗa da:

• Ciwon mara
• Samun nakuda da wuri (isarwar lokacin haihuwa)
• Lumwanƙwan ciki masu raɗaɗi da ke buƙatar tiyata
• Maimaita zubar ciki

Kira mai ba ku sabis idan 'yarku tana da:

• Al'aurar-kallon al'aura
• Halayen Namiji
• Ciwon mara na wata-wata da naƙura, amma ba ya yin haila
• Ba'a fara haila ba da shekaru 16
• Babu ci gaban nono a lokacin balaga
• Babu gashi a balaga
• Kullun da ba na al'ada ba a cikin ciki ko makwancin ciki

Mata masu ciki ba za su sha wani abu da ke dauke da homon namiji ba. Ya kamata su bincika tare da mai bayarwa kafin shan kowane irin magani ko kari.

Koda mahaifiya tayi iya ƙoƙari don tabbatar da lafiyar ciki, matsalolin ci gaba a cikin jariri na iya faruwa.

Raunin ciki - farji, ovaries, mahaifa, da mahaifar mahaifa; Lalacewar haihuwa - farji, ovaries, mahaifa, da mahaifar mahaifa; Ci gaban rashin ci gaban haihuwar mace

• Cigaban ci gaban farji da mara
• Anomalies mahaifa na haihuwa

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